Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Columbia Eye Associates PA

Organization Ophthalmology Physician · NPI 1295921096

Columbia Eye Associates PA is an Ophthalmology Physician in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1615 SW Main Blvd
Lake City, FL 32025-1108
Phone: (386) 755-2785
Fax: (386) 755-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME78478 (FL)

Record details

NPI number1295921096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karl Bodendorfer — Owner · (386) 755-2785
NPI enumeratedSeptember 15, 2007
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing addressPo Box 489, Lake City, FL 32056-0489

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